Individual provider Active NPI

Nadiya Fernandivna Marrengulye

  • Geriatric Medicine (Family Medicine) Physician
  • Asheville, NC
National Provider Identifier
1154091205
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
5015040 Issued in NC
Practice address
191 Biltmore Avenue
Asheville, NC 28801-4109
Phone
(828) 254-0881
Fax
(828) 254-1614
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 5015040 NC Primary

Addresses

Primary practice location

191 Biltmore Avenue
Asheville, NC 28801-4109

Mailing address

191 Biltmore Avenue
Asheville, NC 28801-4109
Phone (828) 254-0881

Other practice location 1

266 Merrimon Ave
Asheville, NC 28801-1218
Phone (828) 253-6712

Other practice location 2

15 Turtle Creek Drive
Asheville, NC 28803-3152
Phone (828) 254-0881

Other practice location 3

188 Medical Park Drive
Ste A
Brevard, NC 28712-4188
Phone (828) 883-9600

Other practice location 4

1032 Fleming Street
Hendersonville, NC 28791-3532
Phone (828) 696-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1154091205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BILTMORE AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014109",
            "telephone_number": "828-254-0881",
            "fax_number": "828-254-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BILTMORE AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014109",
            "telephone_number": "828-254-0881",
            "fax_number": "828-254-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Merrimon Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288011218",
            "country_code": "US",
            "telephone_number": "828-253-6712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Turtle Creek Drive",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288033152",
            "country_code": "US",
            "telephone_number": "828-254-0881",
            "fax_number": "828-254-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Medical Park Drive",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124188",
            "country_code": "US",
            "telephone_number": "828-883-9600",
            "fax_number": "828-254-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Fleming Street",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913532",
            "country_code": "US",
            "telephone_number": "828-696-3099",
            "fax_number": "828-696-3868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRENGULYE",
        "first_name": "NADIYA",
        "middle_name": "FERNANDIVNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "5015040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.